孕前孕产妇营养状况对妊娠结果的影响
Yejuan Jiang1, Xue Wang2, Lilong Wu2
1Department of Obstetrics and Gynecology, The Affiliated Yixing Hospital of Jiangsu University, Yixing, Jiangsu, China.
怀孕前的肥胖和不良饮食增加了妊娠糖尿病,高血压和巨症的风险. 在怀孕前和怀孕期间保持健康的体重和营养对于改善母亲和婴儿的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇的营养 孕产妇的营养
- 公共卫生 公共卫生
背景情况:
- 怀孕前的体重指数 (BMI),饮食习惯和怀孕结果之间的相互作用需要进一步阐明.
- 影响孕前BMI和饮食健康的社会人口统计因素尚未完全理解.
- 研究这些因素对孕产妇和新生儿并发症的影响至关重要.
研究的目的:
- 检查影响孕前BMI和饮食健康的社会人口因素.
- 评估妊娠前的BMI和饮食模式对孕产妇和新生儿并发症的影响.
- 在怀孕期间识别与超重,肥胖和低于最佳饮食模式相关的风险.
主要方法:
- 在2021年1月至2023年12月期间,从济南妇幼医院 (中国) 招募了一组1064名妇女.
- 用中国妊娠健康饮食指数 (CHDI-P) 评估饮食健康状况.
- 用回归分析来确定社会人口统计特征,BMI,CHDI-P得分和不良妊娠结果之间的关系.
主要成果:
- 高等教育和中等收入与正常的孕前BMI相关;较老的母亲年龄与饮食模式有关.
- 怀孕前的肥胖症显著增加了妊娠糖尿病和高血压的风险.
- 低于最佳的饮食模式与妊娠年龄大 (LGA) 婴儿和巨的风险增加有关,而超重/肥胖降低了妊娠年龄小 (SGA) 的出生风险.
结论:
- 怀孕前的超重,肥胖和不健康的饮食模式是导致妊娠期糖尿病,高血压,LGA和巨等不良妊娠结果的重要因素.
- 体重管理和营养指导对妇女在怀孕前和怀孕期间至关重要.
- 较低的教育程度可能需要针对妊娠前的体重和营养进行有针对性的干预.
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